NPI | 1629637640 |
---|---|
Doing Business As | NA |
Entity Type | Organization |
Authorized Contact | ALLISON ANNE HOLTKAMP President 714-914-7794 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2019-06-12 |
Last Update Date | 2019-06-12 |